影响12岁儿童口腔健康相关生活质量的因素：一项纵向研究的基线调查
The factors that influence the oral health-related quality of life in 12-year-old children: baseline study of a longitudinal research.
作者信息
Sun Ling, Wong Hai Ming, McGrath Colman P J
机构信息
Paediatric Dentistry & Orthodontics, Faculty of Dentistry, The University of Hong Kong, 2/F, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong.
Periodontology and Public Health, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong.
出版信息
Health Qual Life Outcomes. 2017 Aug 7;15(1):155. doi: 10.1186/s12955-017-0729-2.
BACKGROUND
Oral health-related quality of life (OHRQoL) could be affected not only by oral health but also by demographic and ecosocial factors. This research aimed to analyze the sociodemographic and clinical factors that may influence the OHRQoL of 12-year-old children.
METHODS
A representative sample was selected from Hong Kong. Periodontal status and caries were examined according to WHO criteria. Four orthodontic indices were used to assess malocclusion. Child Perception Questionnaires (CPQ-ISF:8 and CPQ-RSF:8) including four domains, namely oral symptoms (OS), functional limitations (FL), emotional well-being (EWB), and social well-being (SWB), were used to measure OHRQoL. Adjusted OR was calculated by ordinal logistic regression.
RESULTS
Totally 589 eligible subjects (305 females, 284 males) were recruited. Males tended to rank higher in OS domain but lower in EWB domain (adjusted OR = 1.89 and 0.67). Mother's education was linked more closely with children's CPQ scores. Higher education levels were associated with better quality of life (adjusted OR = 0.45 and 0.37). Household income showed no effect on CPQ scores. Unhealthy periodontal conditions had a negative effect on EWB and total CPQ (adjusted OR = 1.61 and 1.63). High caries experience only had a negative effect on SWB (adjusted OR = 1.60). Malocclusion affected FL, EWB, SWB and total CPQ: all malocclusion severities affected SWB; only severe malocclusions affected FL, EWB and total CPQ.
CONCLUSION
Males were more tolerant of oral symptoms than females were. Higher levels of mother's education led to better OHRQoL of their children. Unhealthy periodontal conditions affected emotional well-being, while high caries experience affected social well-being. All malocclusion severities had an effect on social well-being; severe malocclusion further caused functional limitations, worse emotional well-being, and hence worse OHRQoL.
背景
与口腔健康相关的生活质量（OHRQoL）不仅会受到口腔健康的影响，还会受到人口统计学和生态社会因素的影响。本研究旨在分析可能影响12岁儿童OHRQoL的社会人口统计学和临床因素。
方法
从香港选取一个具有代表性的样本。根据世界卫生组织标准检查牙周状况和龋齿情况。使用四个正畸指数评估错牙合畸形。儿童感知问卷（CPQ-ISF:8和CPQ-RSF:8）包括四个领域，即口腔症状（OS）、功能受限（FL）、情绪健康（EWB）和社会健康（SWB），用于测量OHRQoL。通过有序逻辑回归计算调整后的OR值。
结果
共招募了589名符合条件的受试者（305名女性，284名男性）。男性在OS领域的得分往往较高，但在EWB领域的得分较低（调整后的OR值分别为1.89和0.67）。母亲的教育程度与孩子的CPQ分数联系更为紧密。较高的教育水平与较好的生活质量相关（调整后的OR值分别为0.45和0.37）。家庭收入对CPQ分数没有影响。不健康的牙周状况对EWB和总CPQ有负面影响（调整后的OR值分别为1.61和1.63）。高龋齿经历仅对SWB有负面影响（调整后的OR值为1.60）。错牙合畸形影响FL、EWB、SWB和总CPQ：所有错牙合畸形严重程度均影响SWB；只有严重错牙合畸形影响FL、EWB和总CPQ。
结论
男性比女性对口腔症状的耐受性更强。母亲较高的教育水平会使孩子的OHRQoL更好。不健康的牙周状况影响情绪健康，而高龋齿经历影响社会健康。所有错牙合畸形严重程度均对社会健康有影响；严重错牙合畸形还会进一步导致功能受限、情绪健康状况变差，从而使OHRQoL更差。
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